HCPCS Code B4162
Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
| Short Description | Ef ped specmetabolic inherit |
|---|---|
| Year | 2026 |
| Coverage Code | D = Special coverage instructions apply |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2005 |
| Code Added Date | January 01, 2005 |
| Pricing Indicator | 46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts) |
| Type of Service | E = Enteral/parenteral nutrients/supplies (eff 04/95) |